Presentation to:

Presented by:

Date:

STD 2013 Data Update

Georgia Legislative Black CaucusMichelle Allen

2/10/15

Georgia Reportable STDs• Chlamydia• Gonorrhea• Syphilis• Lymphogranuloma venereum (rarely

reported)• Chancroid (rarely reported)

Reportable STD cases in Georgia, 2009-2013

2009 2010 2011 2012 20130

10,000

20,000

30,000

40,000

50,000

60,000

ChlamydiaGonorrheaSyphilis (all stages)

Georgia’s 2013 Rankings in the U.S.

• 1st for Primary and Secondary Syphilis– Fulton ranked 6th in the country, DeKalb ranked

19th, Cobb ranked 59th, Clayton ranked 67th, Gwinnett ranked 68th

• 6th for Congenital Syphilis• 8th for Gonorrhea

– Fulton ranked 28th in the country, DeKalb ranked 64th

• 9th for Chlamydia– Fulton county ranked 59th in the country

Taken from CDC’s 2013 STD Surveillance Report

Reportable STD cases by age group in Georgia, 2009-2013

2009

2010

2011

2012

2013

0

10000

20000

30000

40000

50000

60000

70000

80000 Unknown>5045-4940-4435-3930-3425-2920-2415-1910-14<10

Reportable STD cases by race/ethnicity in Georgia, 2009-2013

2009

2010

2011

2012

2013

010,00020,00030,00040,00050,00060,00070,00080,000 Unknown

race or ethnicityOther race, non-HispanicAny race, HispanicBlack, non-HispanicWhite, non-Hispanic

Reportable STD cases by gender, 2009-2013

2009

2010

2011

2012

2013

010,00020,00030,00040,00050,00060,00070,00080,000

Unknown genderFemaleMale

Reportable STD Rates by County for Georgia, 2013STD Rate per 100,000 population

Syphilis Summary• Primarily black, non-Hispanic males 20-29

years old• In 2013, 80% of syphilis cases in men who

were interviewed listed sex with men as one of their risk factors.

• In 2013, at least 50% of syphilis cases in males were co-infected with HIV.

Syphilis

Nationally• Total number of reported syphilis cases in

the country increased by 13.1% 2012-2013

• Georgia ranked 1st in the country• By county, Fulton ranked 6th in the

country, DeKalb ranked 19th, Cobb ranked 59th, Clayton ranked 67th, Gwinnett ranked 68th

2009 2010 2011 2012 20130

50010001500200025003000 2725

2269 2468 24152791

Syphilis cases (without congenital) in Georgia,

2009-2013

16% increase

2009 2010 2011 2012 20130

10

20

30

40

50

60

Primary and Secondary Syphilis Case Rates by Race/Ethnicity and Gender - Georgia 2009-2013

Black, Non-Hispanic MaleAny Race, Hispanic MaleWhite, Non-Hispanic MaleBlack, Non-Hispanic FemaleWhite, Non-Hispanic FemaleAny Race, Hispanic FemaleOther or Unknown Race, Non-Hispanic MaleOther or Unknown Race, Non-Hispanic Female

Per

10

0,0

00

pop

ula

tion

Syphilis cases by age group in Georgia, 2009-2013

2009 2010 2011 2012 20130

500

1000

1500

2000

2500

3000 Unknown>5045-4940-4435-3930-3425-2920-2415-1910-14<10

Syphilis (all stages) cases by race/ethnicity in Georgia, 2009-2013

2009

2010

2011

2012

2013

0

500

1,000

1,500

2,000

2,500

3,000 Unknown race or ethnicityOther race, non-HispanicAny race, HispanicBlack, non-HispanicWhite, non-Hispanic

Congenital Syphilis

Nationally• For the first time since 2008, reported

gonorrhea cases in the country increased by 4% 2012-2013

• Georgia ranked 6th in the country (9th last year)

2009 2010 2011 2012 20130

5

10

15

20

25

14

18

10

16

20

Congenital syphilis cases in Georgia, 2009-2013

Chlamydia

Nationally• 1.5% decrease in chlamydia cases

reported for the U.S. – First decrease seen since national reporting began (2000)

• Decreases could represent fewer infections or lower screening rates

• Georgia ranked 9th in the country(8th last year)

• By county, Fulton county ranked 59th in the country

2009 2010 2011 2012 20130

10000

20000

30000

40000

50000

60000

4013944684

50932 49313 46585

Chlamydia cases in Georgia, 2009-2013

6% decrease

Chlamydia cases by gender in Georgia, 2009-2013

2009

2010

2011

2012

2013

0

10,000

20,000

30,000

40,000

50,000

60,000

Unknown genderFemaleMale

Chlamydia cases by age group, Georgia 2009-2013

2009 2010 2011 2012 20130

10000

20000

30000

40000

50000

60000 Unknown>5045-4940-4435-3930-3425-2920-2415-1910-14<10

Gonorrhea

Nationally• Reported gonorrhea cases in the U.S.

decreased 0.6% overall 2012-2013• Historic low in 2009, then increased 8.2%

2009-2013• New recommendation that all women under

age 25 be screened annually for gonorrhea • Georgia ranked 8th in the country (5th last

year), • By county, Fulton ranked 28th in the

country, DeKalb ranked 64th

2009 2010 2011 2012 20130

4000

8000

12000

1600013755

15666 1566114435

12999

Gonorrhea cases in Georgia, 2009-2013

10% decrease

Gonorrhea Cases by Age Group in Georgia, 2009-2013

2009 2010 2011 2012 20130

2000400060008000

1000012000140001600018000 Unknown

>5045-4940-4435-3930-3425-2920-2415-1910-14<10

Gonorrhea cases by race/ethnicity in Georgia, 2009-2013

2009

2010

2011

2012

2013

0

4,000

8,000

12,000

16,000 Unknown race or ethnicityOther race, non-HispanicAny race, HispanicBlack, non-HispanicWhite, non-Hispanic